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Organization
HEALTHWELL PHYSICAL THERAPY
Active
Organization
HEALTHWELL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FONG DPT (PHYSICAL THERAPIST)
(415) 921-1211
Entity
Organization
Contact information
Practice address
1200 GOUGH ST, SUITE 700, SAN FRANCISCO, CA 94109-6655
(415) 921-1211
(415) 921-1229
Mailing address
1200 GOUGH ST, SUITE 700, SAN FRANCISCO, CA 94109-6655
(415) 921-1211
(415) 921-1229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291194
CA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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